| NPI | 1295808871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD CHAUKOON JEW President Owner 415-398-4964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 25082) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |